During the first trimester, a woman may also experience:
Morning sickness (nausea)
One of the most common – and well-known – first-trimester pregnancy symptoms is morning sickness. Nausea can range from mild and infrequent to extreme and constant, and can be worse in the morning.
Bland foods, water or light-colored juices, and lying down can help calm nausea. Contact your doctor if you’re having a hard time keeping food down because it can negatively impact the baby’s nutrition intake.
Fatigue
Since a pregnant woman’s body has to invest a lot of energy into the developing baby, you may feel more tired than usual. Resting as needed, as well as increasing iron intake, will help you feel better.
Dizziness
Increased blood flow during pregnancy can cause dizziness or lightheadedness. You can generally prevent dizziness by avoiding long periods of standing and rising slowly after sitting or lying down. If you experience severe dizziness, it may indicate a problem, so contact your doctor.
Mood swings & strong emotional response
Hormones and fatigue during pregnancy can cause a change in a woman’s moods. These can run the gamut from extremely happy to depressed, scared, or angry. Emotional responses to the many expected life changes a baby brings can also cause anxiety or stress.
Talking about how you’re feeling – with your partner, family, or friend – will help manage your mood. Additionally, communicating with your partner about your upcoming role as parents and other changes will help address any worries or fears either of you have, and can help strengthen your relationship.
Bleeding
Some women experience spotting or slight bleeding in early pregnancy. This is normal, and often indicates the newly fertilized embryo has implanted in the uterus and has begun developing.
However, if the bleeding is significant (similar to a woman’s menstrual cycle) – especially when accompanied by sharp pain or cramping – it could signal a miscarriage or ectopic pregnancy (when the embryo implants in the fallopian tube instead of dropping to the uterus). If you experience heavy bleeding, call your doctor immediately.
Discharge
During the first trimester, many women have a white discharge (leucorrhea), which is normal. You can wear a light day pad to catch the discharge. However, if the discharge is clear, greenish or yellow, or has a bad smell, call your doctor.
Frequent urination
A woman’s uterus expands as the baby grows. Even in the first trimester, this can put pressure on the bladder, which can cause the feeling of always needing to urinate. It’s important to continue drinking liquids, although cutting down on caffeine will lessen the urge to urinate.
As soon as you do feel the need to urinate, you should go as soon as possible to avoid infection.
Constipation
During your first trimester, the production of the hormone progesterone is increased and women taking prenatal vitamins will also have higher levels of iron. The combination can cause constipation, gas, and bloating.
Increasing your intake of fiber and liquids – or taking mild laxatives for more severe cases – can help alleviate these symptoms.
Heartburn
Increased progesterone production causes smooth muscles to relax, affecting the esophagus, which helps keep food and acids down. This can cause acid reflux (heartburn). Waiting to lie down right after meals; eating smaller, more frequent meals; and avoiding greasy, spicy or acidic foods will help you avoid heartburn.